| Lifeflow Llc | |
|
1415 W 22nd Street Tower Floor Oak Brook IL 60523-6052 | |
| (630) 447-9359 | |
| Not Available |
| Full Name | Lifeflow Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1415 W 22nd Street, Oak Brook, Illinois |
| Authorized Official Name and Position | Obidike Augustine Nwakudu (PRESIDENT) |
| Authorized Official Contact | 6307010998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeflow Llc Po Box 3335 Oak Brook IL 60522-3335 Ph: (630) 701-0998 | Lifeflow Llc 1415 W 22nd Street Tower Floor Oak Brook IL 60523-6052 Ph: (630) 447-9359 |
| NPI Number | 1467129734 |
|---|---|
| Provider Enumeration Date | 08/25/2021 |
| Last Update Date | 08/25/2021 |
| Medicare PECOS PAC ID | 1153711262 |
|---|---|
| Medicare Enrollment ID | O20211203002414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467129734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Obidike Nwakudu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225238504 PECOS PAC ID: 8325128499 Enrollment ID: I20071231000568 |
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